Men’s strategies for preserving emotional well-being in advanced prostate cancer: An interpretative phenomenological analysis

Objective: This study explores men with advanced prostate cancers’ own practices for promoting and maintaining emotional well-being using Interpretative Phenomenological Analysis.

Design: Five men with advanced prostate cancer participated in face-to-face, semi-structured, in-depth interviews.

Results: Within rich narratives of lost and regained well-being, two super-ordinate themes emerged – ‘living with an imminent and uncertain death’ and ‘holding on to life.’ Well-being was threatened by reduced sense of the future, isolation and uncertainty. Yet, the men pursued well-being by managing their emotions, striving for the future whilst enjoying life in the present, taking care of their families and renegotiating purpose. Running through participant’s accounts was a preference for taking action and problem-solving. Sense of purpose, social connectedness, and life engagement were revealed as concepts central to improving well-being, indicating areas which practitioners could explore with men to help them re-establish personal goals and life purpose.

Conclusions: The findings also add weight to the evidence base for the potential value of psychological interventions such as cognitive behaviour therapy and mindfulness in men with prostate cancer.     

Therapeutic implications of counselling psychologists’ responses to client trauma: An interpretative phenomenological analysis

The past two decades have seen a surge of interest in the impact of working with trauma survivors on therapists’ psychological well-being. Existing literature assumes that therapists’ strong subjective responses to traumatic material adversely influence the therapeutic process. However, this has not yet been directly researched. Nine counselling psychologists were interviewed regarding the clinical impact of their responses to the disclosure of traumatic material. Interpretative Phenomenological Analysis showed that significant challenges are experienced in the use of self in therapy with trauma survivors, including making sense of horrific human actions, negotiating complex interpersonal dynamics and responding to ethical dilemmas in therapy. Results emphasised the importance that therapists attached to the development of their therapeutic use of self in therapy with trauma survivors, the value of learning from others and reaching a place of acceptance and hope when working with trauma survivors. Finally, specific training and development implications are proposed.     

Student counsellors’ experiences of mindfulness as a component of their person-centred counselling training: An interpretative phenomenological analysis

Aim

Mindfulness is increasingly integrated into counselling and psychotherapy practices, as well as being introduced to students in academic institutes with the aim of supporting them to balance the responsibilities of academic study, placements and other commitments alongside university life. Despite mindfulness routinely finding its way into counselling settings and being incorporated into counsellor training, there has yet to be any research conducted to explore the experience of student counsellors who have received mindfulness as a part of their undergraduate person-centred training. This study explored the reflections of counsellors who had attended a mindfulness module during the first year of a counselling degree.

Design

Six students completing a university-based undergraduate degree in Counselling and Psychotherapy in the North-West of England, in the UK, participated in the research. The study consisted of two students from each of the three years of the programme. Participants individually attended a semi-structured interview to explore their experiences of mindfulness as a mandatory module of their training in person-centred counselling. Interpretative phenomenological analysis (IPA) was used to analyse the generated data.

Findings

Four superordinate themes were generated: 1) becoming a counsellor, 2) person-centred mindfulness, 3) time, and 4) learning and development.

Discussion

Experiential themes were explored including the process of professionalism, vulnerability, embodiment of person-centred theory and the core conditions and the conflict of approach.

Conclusion

Recommendations are made for mindfulness to be included in counselling training programmes with a person-centred focus. Suggestions for further research include longitudinal studies to follow the development of trainees over time.     

“I Don’t feel like melting butter”: An interpretative phenomenological analysis of the experience of ‘inorgasmia’

Inorgasmia is under-studied in the domain of sexual health psychology. This study explores women's experiences of inorgasmia and the meanings giving to this experience. Interviews with six inorgasmic women were analysed using interpretative phenomenological analysis (IPA). The analysis showed that the absence of orgasm was experienced as problematic and disturbing. A search for reasons for their condition, and its effects on self-image and self-confidence underpinned the experience of inorgasmia as a problem. The spectrum of meanings surrounding female orgasm demonstrates that, far from being perceived as a merely physical experience, the moment of orgasm takes on relational significance and it has implications for the women's identities. The paper identifies areas for future research and theorising.     

Couple and family therapists’ experiences with Telehealth during the COVID-19 pandemic: a phenomenological analysis

In designing this study, we aimed to obtain a rich, phenomenological understanding of the experiences of couple and family therapists who transitioned their practice to telehealth due to the COVID-19 pandemic. Twelve experienced therapists from the U.S., Spain and Australia were interviewed in depth about their experiences of this transition, particularly how they developed and maintained therapeutic alliances in a virtual context with couples and families suffering pandemic-related hardships. The qualitative analysis identified 40 themes reflecting participants’ initial impressions of telehealth and their positive and negative reactions and adjustments to practicing remotely. Upon overcoming some initial wariness about providing services virtually, many participants described advantages to this way of working with families. Indeed, participants were creative in adjusting to this novel therapy modality, finding new ways to connect emotionally with their clients, to work meaningfully with children, to assess in-session dynamics, and to ensure their clients’ privacy and safety. Notably, several participants commented on the relatively slower development of alliances with new cases and the challenge of repairing split alliances between family members. Many of these difficulties were described as due to having minimal access to their clients’ raw emotions and the inability to use typical systemic interventions, such as moving family members around physically. Participants also reflected on being a “participant observer” to the upheaval caused by the pandemic, a distressing experience they shared with the families in their care.

     

‘Taking emotions seriously’: Feeling female and becoming-surfer through UK Surf Space

In this paper, I consider the importance of “taking emotions seriously” in relation to my research into women and surfing in the UK. I draw on feminist work in the areas of emotion, space and subjectivity, and relevant literature on surfing, in order to explore the significance of affectual and emotional experiences for women who surf. I contend that by exploring how women emotionally experience surfing spaces, we might better understand the dynamic intricacies of surfing as an embodied, gendered space. In particular, I explore feelings of fear, freedom, belonging and anger in the context of female subjectivities caught up in a spatial becoming-surfer. My findings suggest that although surfing remains dominated by men, the fluidity of the space offers many possibilities for women to experience their gendered embodiment differently. I also contend that an association of surfing with masculinity continues to shape gendered relations and spatial becomings in the surf.     

Husserl’s motivation and method for phenomenological reconstruction

In this paper I present an account of Husserl’s approach to the phenomenological reconstruction of consciousness’s immemorial past, a problem, I suggest, that is quite pertinent for defenders of Lockean psychological continuity views of personal identity. To begin, I sketch the background of the problem facing the very project of a genetic phenomenology, within which the reconstructive analysis is situated. While the young Husserl took genetic matters to be irrelevant to the main task of phenomenology, he would later come to see their importance and, indeed, centrality as the precursor and subsoil for the rationality of consciousness. I then argue that there is a close connection between reconstruction and genetic phenomenology, such that reconstruction is a necessary component of the program of genetic phenomenology, and I set out Husserl’s argument that compels one to enter into reconstructive territory. With that impetus, I schematically lay out the main contours one finds in Husserl’s practice of reconstructive techniques. We find him taking two distinct approaches, that of the individual viewed egologically (through the abstract lens of a single individual’s consciousness) and as embedded in interpersonal relations. Husserl occasionally calls these the approach “from within” and “from without,” respectively. Ultimately, the two approaches are not only complementary, but require one another. In closing, I argue that these considerations lead to a blurring of lines between the genetic and generative phenomenological registers, which challenges the prevalent view that there is a sharp demarcation of the two.     

New interpretative styles: Progress or contamination? Psychoanalysis and phenomenological psychopathology1

Psychoanalysis has started to recoup, often quite implicitly, a more phenomenological stance, ever since psychoanalysts have started working with borderline and psychotic patients. As many of these patients have commonly been through traumatic experiences, psychoanalysts have been using an approach that questions the role of traditional psychoanalytical interpretation and pays more attention to the patient's inner conscious experiences; this approach is characteristic of a specifi c form of contemporary psychiatry: phenomenological psychopathology, founded by Karl Jaspers in 1913 and developed into a form of psychotherapy by Ludwig Binswanger, with his Daseinsanalyse. If what we could call a phenomenological ‘temptation’ has been spreading over psychoanalysis, so too has a psychoanalytical ‘temptation’ always been present in phenomenological psychopathology. In fact, even though this branch of psychiatry has led us towards a deeper understanding of the characteristics of psychotic being‐in‐the‐world, its therapeutic applications have never been adequately formalised, much less have they evolved into a specifi c technique or a structured psychotherapeutic approach. Likewise, phenomenological psychotherapy has always held an anaclitic attitude towards psychoanalysis, accepting its procedures but refusing its theoretical basis because it is too close to that of the objectifying natural sciences. Psychoanalytic ‘temptation’ and phenomenological ‘temptation’ can thus be considered as two sides of the same coin and outline a trend in psychoanalytic and phenomenological literature which points out the fundamental role of the patient's inner conscious experiences in the treatment of borderline and psychotic patients.     

Sexuality and corrections: An administrator’s perspective

Any consideration of human sexuality inevitably refers to fundamental and powerful physical, psychological, behavioral, attitudinal, and social forces that permeate many important aspects of human life and culture. As with many issues impacting society in general, these become magnified within the correctional environment.     

Transgender women’s experiences and beliefs about hormone therapy through and beyond mid-age: An exploratory UK study

Background: Little is known about transgender women’s beliefs and experiences of hormone therapy (HT), as part of their transition process, and particularly as they grow older. Aims: This study aimed to investigate: (i) transgender women’s experiences and attitudes to HT, and (ii) expectations of what might occur and/or what occurred after they reached “menopausal age.” Methods: Participants were recruited through invitations to an online survey sent to 138 Lesbian, gay, bisexual, transgender plus (LGBT+) support groups across the UK. Sixty-seven transgender women consented and completed the questionnaire; responses were analyzed using a mixed-methods approach. The beliefs about medicines questionnaire (BMQ) was used to assess beliefs about HT, while an inductive thematic qualitative approach was used to explore participants’ personal expectations and experiences of HT and their views about the menopause. Results: Participants were aged on average 49 years ranging from 20 to 79 years old. Most (96%) were taking HT. BMQ scores revealed strong beliefs about the necessity of HT and some concerns. Positive views about HT were expressed, with themes including treatment importance, personal and mental health benefits, but concerns about long-term effects, side effects, and maintaining access to the treatment were also mentioned. Views about menopause included uncertainty and questioning of its relevance; some mentioned changes to HT dosage, but most expected to use HT indefinitely. Discussion: This study provides exploratory qualitative and quantitative information about transgender women’s views about HT and menopause. Practical implications include improving access to HT and provision of evidence-based information about long-term use.     

The analysis of young people’s experiences of domestic violence: spiritual and emotional journeys through suffering

The hermeneutical analysis of the stories of young people who have experienced domestic violence is described as multi‐layered having been developed from a voice centred relational methodology. The purpose was to uncover the complexity of lived experience. As the analysis proceeded, the young people’s voices emerged as ‘feeling’ voices, encompassing emotionality. Each young person’s journey through suffering was characterised by individuality, but the analysis has offered a glimpse of commonality which is present within each of the young people’s stories. Their resilience, their journey from disempowering to humanising emotions and their indomitable spiritual powers have been revealed through the analytical process.     

“It’s like a charge – either fuses you or burns you out”: an interpretative phenomenological analysis of extreme mental states in meditation context

Meditation, an ancient Eastern spiritual practice, is increasingly being practised in the West where its benefits for mental and physical health have been established. Extreme mental states that can be encountered in the context of meditation have also been reported and often have been labelled as psychosis or spiritual emergency. This study aimed for more nuanced understanding of the phenomena. Interpretative phenomenological analysis was employed to explore the meaning-making of three meditation teachers from different philosophical traditions. The teachers described phenomenology of various extreme mental states, explained their nature according to their traditions and discussed ways of helping persons who experience these. Significance was given to having a spiritual teacher to provide guidance and support. The study highlights the importance of acknowledging the diverse understandings of the phenomena and cultivating a non-judgemental attitude towards it, which could help clinicians and meditation teachers work together to support persons experiencing these.     

Game outcome and elite Japanese women’s field hockey player’s experience of emotions and stress

Objectives: To measure the effects of game outcome on pleasant and unpleasant emotions and stress during elite-level competition.Design: Quasi-experimental repeated pre- and post-game measurement in a field setting.Methods: Participants were 16 members of the Japanese women’s field hockey team playing a world cup preliminary qualifying tournament in Trinidad. Players completed the Tension and Effort Stress Inventory (TESI), a measure of emotion and stress, at the seven games of the tournament (five wins, two losses).Results: The pattern of emotions after game 1 (a loss) were in sharp contrast to the results from the other six games (five wins, one loss). When compared to other games, significant increases in anxiety, humiliation and excitement pre- to post-game 1 were found, as were significantly higher scores in sullenness and lower scores in relaxation post-game 1. No significant decreases in external tension stress and somatic tension and effort stress pre- to post-game 1 were found. For the other games, athletes were significantly more relaxed and excited after games, increasing with each game in the tournament. Also, the unpleasant emotion and stress results, associated with game 1, significantly diminished as the team progressed to the tournament final. There was no evidence for a simple win/loss difference on post-game emotions and stress.Conclusions: The relationship between game outcome and emotional response is not straightforward. Other factors, such as cognition, may also play a role.     

Dworkin’s Unity of Value: An Interpretation and Defense

Res Publica - Ronald Dworkin’s unity of value thesis underlies his influential moral, political, and legal thought. This essay presents an interpretation of the unity thesis designed to...     

Eidetic intuition as physiognomics: rethinking Adorno’s phenomenological heritage

Continental Philosophy Review - Adorno’s intensive criticism of phenomenology is well known, his entire early period during the 1920s and 1930s being marked by various polemical engagements...